INITIAL ASSESSMENT AND FORMULATION OF

CHRONICALLY DEPRESSED PATIENTS

Questes para Eliciar Percepes do Paciente sobre Sintomas

Biolgicos / Psicolgicos
Can you describe any particularly troublesome symptoms that cause you
problems on a day-to-day basis?
How frequently is symptom x a problem?
Are there any times of day when symptom x is more/less problematic?
What activities does symptom x interfere with?
What does symptom x stop you doing?
Are there any strategies you use to deal with symptom x?
How effective are these strategies?
What is your understanding of the cause of symptom x? What do you put it
down to?

Questes para Eliciar Atribuies sobre Fatores Situacionais /

Ambientais
What is it about this situation/event that you nd most upsetting?
How do you explain that this situation/event has occurred?
Where do you lay the blame for the occurrence of this event?
Whose responsibility is it to sort out this particular problem?
What action can you take to deal with this event?
If you dont sort out the problem what do you predict will happen?
What is the worst thing you can imagine happening?
Who generally sorts out problems in the family?
If you were to say no to sorting out this particular problem, what do you predict
the consequences would be?

Questes para Eliciar Informao sobre Afeto

How did you feel when x occurred?
What is the most common feeling you experience at present?

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Do you ever feel sad/angry/anxious/guilty/ashamed?
Can you think of a recent situation where you have felt
sad/anxious/angry/guilty/ashamed?
How easy/difcult do you nd it to talk about your feelings?
How easy/difcult do you nd it to show your feelings?
If you showed people how you really feel, what is the worst thing you can
imagine happening?
When you show you feel sad/angry how do other people react?
How do you think other people see you when you show your feelings?

Questes para Avaliar Vises Negativas de Si e do Mundo

How would you describe yourself as a person?
How would you compare yourself to other people?
How do you think other people see you?
What aspects of yourself do you like? What do you see as your strengths?
What aspects of yourself do you dislike? What do you see as your
shortcomings?
What does that experience/event/occurrence say about you as a person?
What type of place would you describe the world as?
How does this experience inuence your view of the world?
How do you deal with anger or arguments?
What is it about anger or arguments that you like/dont like?
How do you deal with someone paying you a compliment or giving you praise?
What is it about someone paying you a compliment or giving you praise that
you like/dont like?
How do you deal with someone showing you affection or being kind to you?
What is it about people showing you affection or being kind that you like/dont
like?
How do you deal with criticism?
What is it about criticism that you nd difcult to handle?

Questes para Eliciar Informaes sobre Processos

Cognitivos
What differences do you notice in your thinking patterns when you are having a

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 bad day in comparison to when you are having one of your better days?
Do you ever ruminate/become preoccupied/seem to get things stuck in your
mind and you cant get rid of them? What sort of things trigger this?
What type of things do you become preoccupied with? Can you give me an
example?
When something gets stuck in your mind what do you do to try to get rid of it?
What helps to stop you ruminating/get the stuck thing out of your mind?
Are there any strategies you use to try to avoid ruminating/becoming
preoccupied?

Questes para Avaliar Comportamentos do Paciente

In what ways has your behaviour changed since you became depressed?
Are there activities you have stopped doing since you became
depressed/anxious?
What are your reasons for not doing x?
What enjoyable activities do you do at the moment?
What activities did you enjoy before becoming depressed?
Are there any activities you actively avoid since becoming depressed?
Are there any activities you have been putting off?
If you were to try to do x now, what do you predict would happen?
What is the worst thing you could imagine happening?
Are there any times of day when activities/tasks are harder/easier?
Are there activities/behaviours you do more since becoming
depressed/anxious?

Questes para Avaliar o Histrico de Depresso do Paciente

How old were you when you rst experienced depressive symptoms?
What was going on in your life around that time?
How did the illness affect you at the time?
What treatment did you seek at the time?
Did you take prescribed medication?
Did you talk to a professional about your problems?
Were you admitted to hospital?
How long did that particular episode last?

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 Did you make a full recovery (i.e. symptom and medication free) from the
episode?
How long did you remain well (symptom and medication free) before the next
episode occurred?

Questes para Eliciar Informao sobre Fatores Sociais e

Ambientais na Infncia e Adolescncia
Where were you born and brought up as a child?
How many brothers and sisters do you have?
How would you describe your childhood?
What do/did your parents do for a living?
What sort of person is your mother/father? How did you get on with her/him?
Did you suffer from any serious illness as a child?
Did you suffer from any abuse or traumas as a child?
Did you lose any people that were very close to you?
Where did you go to primary/secondary school?
What was school like for you? Were you bullied or beaten up?
Did you ever have any unwanted sexual experiences as a child or adolescent?

Questes para Eliciar Crenas e Regras Pessoais e Familiares

How old were you when you rst experienced depressive symptoms?
What was going on in your life around that time?
What type of environment were you raised in?
What values did your parents emphasise in your childhood?
How was affection shown in your family?
How did mother/father/siblings respond when you showed your feelings?
Who disciplined you as a child?
What did the discipline consist of?
How were arguments dealt with during childhood?
If you were ill as a child, how was this dealt with?
When a death occurred in the family, how was this handled in the family?
Were you raised within a particular religion?
How has your religious upbringing shaped your view of the world?

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 What was primary/secondary school like as a child?
What values did your school emphasise?
What were your relationships with teachers like at school?
What aspects of school did you enjoy/dislike?
What were your reasons for enjoying/disliking these aspects?
Was there anything you excelled at as a child?

Questes para Eliciar o Modelo Utilizado pelo Paciente para

Compreender / Explicar a Depresso
What is your understanding of depression as an illness?
What is your understanding of what causes depression generally?
How did you arrive at this conclusion?
Have you read anything about depression in books or magazines or watched a
television programme?
What do you consider will be the most effective treatment for your illness?
Do you know anyone else who has experienced depression? What is your
understanding of their illness?

Questes para Eliciar Percepes do Paciente sobre

Medicaes Prescritas
What medication are you taking at present?
What dosage are you taking?
How do you feel about taking medication?
How helpful do you nd your medication in managing your illness?
What is your understanding as to how medication to treat depression works?
Do you have any concerns about taking the medication prescribed for you?
How often do you take your prescribed medication?
How many times (if at all) have you missed a dose in the last two weeks?
Can you describe any troublesome side effects of the medication you have
been prescribed?

Questes para Eliciar Percepes do Paciente sobre a Terapia

Psicolgica

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How old were you when you rst experienced depressive symptoms?
What was going on in your life around that time?
Have you tried any talking therapies in the past?
How helpful/unhelpful was your previous therapy?
What changes did you make as a result of previous therapy?
How optimistic are you that cognitive therapy could help in the management of
your depression?
How do you think cognitive therapy could be of help to you?
What is your understanding of cognitive therapy as a treatment for depression?
Do you have any concerns/reservations regarding cognitive therapy?

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